Periodontal disease, inflammatory cytokines, and PGE2 in pregnant patients at risk of preterm delivery : a pilot study
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Fecha
2018-08-01Autor(es)
Latorre Uriza, CatalinaVelosa Porras, Juliana
Roa, Nelly S
Quiñones Lara, Stephani Margarita
Silva Herrera, Jaime Luis
Ruiz, Álvaro J
Escobar Arregoces, Francina Maria
Autor(es) Corporativo(s)
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadística
Tipo
Artículo de revista
ISSN
1064-7449 / 1098-0997 (Electrónico)
Páginas
1-7
Tipo de artículo
Artículo de investigación
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Abstract
Periodontal disease is an infection that, in pregnant women, can act as a risk factor for preterm delivery by increasing local and systemic inflammatory responses. Objective. To analyze the presence of periodontal disease, proinflammatory cytokines, and prostaglandin E2 (PGE2) in pregnant patients at high risk for preterm delivery. Materials and Methods. Pilot study for a case-control study. We included 46 pregnant patients (23 patients at risk of preterm delivery as cases and 23 patients without risk of preterm delivery as controls). We excluded patients who received periodontal treatment, antibiotics, or antimicrobials over the last 3 months as well as those with infections or diseases such as diabetes or hypercholesterolemia. The patients underwent a periodontal assessment, and their levels of cytokines (interleukin- [IL-] 2, IL-6, IL-10, and tumor necrosis factor- [TNF-] α) and prostaglandin E2 (PGE2) were quantified. Results. Patients with periodontal disease showed higher levels of cytokines (IL-2, IL-6, IL-10, and TNF-α) and PGE2. Patients at high risk for preterm birth showed higher IL levels compared with patients at low risk for preterm delivery. PGE2 increased with the severity of periodontal disease. PGE2 was higher in patients at low risk for preterm delivery, although this difference was not significant. Conclusion. Periodontal disease can increase the systemic inflammatory response as well as the levels of PGE2 and inflammatory cytokines in pregnant patients.
Enlace al recurso
https://www.hindawi.com/journals/idog/2018/7027683/Fuente
Infectious Diseases in Obstetrics and Gynecology; (2018)
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